| NPI | 1699342519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2022011035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021020616) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2022-06-15 |